Health inspection·September 28, 2023

F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, staff interviews, review of facility policy and the review of clinical records, it was determined that the facility failed to ensure a care plan was updated with the correct positioning device for 1 resident (Resident R3) and not updated for colostomy care for one resident for 2 out of 15 residents reviewed (Resident R3 and Resident R49). Findings include: Review of the policy, Care Plans Comprehensive Person-Centered, with a revision date of March 2022 indicated that the resident's comprehensive, perso-centered care plan describes the services that are to be furnished to attain or maintained the resident's highest practicable physician, mental and psychosocial well-being, including any specialized services, and describes which professional services are responsible for each element of care; reflects currently recognized standards of practice for problem areas and conditions. The policy also indicated that assessments are ongoing and revised as information about the residents and the resident's conditions change. The policy also indicated that the interdisciplinary team reviews and updates the care plan when there is a significant change in the resident's condition, when the desired outcome is not met and at least quarterly, in conjunction with the required quarterly Minimum Data Set Assessment. Review of the September 2023 physician orders for Resident R3 included the following diagnosis: history of traumatic brain injury; hearing loss; Chronic Obstructive Pulmonary Disease (COPD-a disease characterized by persistent respiratory symptoms like progressive breathlessness and cough), and dysphagia (difficulty swallowing). Review of the resident's Quarterly Minimum Data Set Assessment (MDS-a periodic assessment dated [DATE] indicated that Resident R3 was cognitively impaired. Continued review of the resident's Quarterly MDS indicated that the resident was dependent on staff for transferring in and out of bed, repositioning, and activities of daily living (e.g. dressing, eating, toilet use, and personal hygiene). Review of the resident's person-centered plan of care included a plan of care dated December 20, 2021 with instructions to wash and dry the resident's left hand between his fingers throughout, and to don (put on) the left hand, and that the resident is to wear the palm protector at all times except during hygiene with the goal of preventing contractures and maintaining the resident's left hand (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 7 Event ID: 395193 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 395193 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/28/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Rosemont Center 35 Rosemont Avenue Rosemont, PA 19010 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)